NEW !! New Group B Strep Prevention Guidelines issued by the Centers for Disease Control and Prevention August 16, 2002

Vaginal and rectal GBS screening cultures at 35-37 weeks’ gestation for ALL pregnant women (unless patient had GBS bacteriuria during the current pregnancy or a previous infant with invasive GBS disease)

Intrapartum prophylaxis indicated

Previous infant with invasive GBS disease

GBS bacteriuria during current pregnancy

Positive GBS screening culture during current pregnancy (unless a planned cesarean delivery, in the absence of labor or amniotic membrane rupture, is performed)

Unknown GBS status (culture not done, incomplete,
or results unknown) and any of the following:

Delivery at <37 weeks’ gestation

Amniotic membrane rupture 18 hours

Intrapartum temperature 100.4°F ( 38.0°C)

Intrapartum prophylaxis not indicated

Previous pregnancy with a positive GBS
screening culture (unless a culture was also
positive during the current pregnancy)

Planned cesarean delivery performed in the
absence of labor or membrane rupture
(regardless of maternal GBS culture status)

Negative vaginal and rectal GBS screening
culture in late gestation during the current
pregnancy, regardless of intrapartum risk
factors

Mom to Mom

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